Diminished volume with mild atrophic changes are noted the left cerebral hemisphere compared to the right side showing relatively dilated lateral ventricle and prominent cortical sulci, associated with :
- coarse cortical tram-track calcification involving the parieto-occipital region, evident on SWI and confirmed by a recent CT (not available)
- prominent leptomeningeal enhancement along the left cerebral hemisphere notably the frontal and partieto-occipital regions with prominent related cortical vessels
- left sphenoid wing dysplasia
- left anterior temporal arachnoid cyst is noted averaging 4.5 x 4 cm in axial dimensions, indenting the underlying temporal gyri
- thickened areas of the scalp over the left frontal and parietal regions, refer to associated cutaneous lesions